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* 1. Which of the following services would you like to give feedback on?

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* 2. Please tick the box which best describes how you think or feel about the service you received.

  Definitely True Sometimes True Not True Don't Know
I feel that the person who saw me listened to and understood my point of view
I was treated well by the person I saw
I feel the people here know how to help with the difficulties I face
The information and advice I was given was helpful
The facilities are comfortable
I found it easy to get an appointment
I would recommend your service to a friend that faces similar difficulties

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* 3. Please provide any other feedback in the box below. We are interested in what you found helpful and what would have improved your expereince.

T